HomeMy WebLinkAboutSTEVEN BEITZ - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
O1/28/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
STEVENS INSURANCE AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 27 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
WELLINGTON, CO 80599 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
970-568-0980 INSURERS AFFORDING COVERAGE NAIC#
INSURED STEVE BEITZ TRUCKING LLC INSURERA COLONY INSURANCE COMPANY
INSURERS PROGRESSIVE INSURANCE
4640 E COUNTY RD 66 INSURER
WELLINGTON, CO 80549 INSURER
970-227-5885 INSURER E
Cnlll= )AP_CC
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
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TYPE OF INSURANCEPOLICY
NUMBER
POLICYEFFECTIVE
DATEUMMIDDMI
POLICYEXPIRATION
DATE MMIDD
LIMITS
A
X
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
ACC1926326
02/19/07
02/14/08
EACH OCCURRENCE
11,000,000
PREMISES (Ea occurence
$100, 000
MED EXP(Any one Person)
$5, 000
PERSONAL&ADVINJURY
$1, 000, 000
GENERAL AGGREGATE
$2, 000, 000
GEN L AGGREGATE LIMIT APPLIES PER
POLICY 7PRO LOD
JErT
PRODUCTS COMP/OPAGG
$2, 000,000
B
X
AUTOMOBILE
LIABILITY
ANYAUTO
ALLOWNEDAUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-0WNEDAUTOS
05644303-0
02/14/07
02/14/08
COMBINED SINGLE LIMIT
(Ea acetlenp
$1, 000, 000
BODILYINJURY
(Per person)
$
X
BODILYINJURY
(Peraccitlent)
$
PROPERTY DAMAGE
(Peraooltlent)
$
GARAGE LIABILITY
ANYAUTO
AUTOONLY EAACCIDENT
$
OTHERTHAN EAACC
AUTOONLY AGG
$
$
EXCESSNMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
8
$
WORKERSCOMPENSATIONAND
EMPLOYERS LIABILITY
ANY PROPRiETORIPARTNERAxECUTIIVE
or'l CER MEMBER EXCLUDED
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SPECIAL PROVISIONS below
WCSTATU I OTH
T RV IMITS ER
E L EACH ACCIDENT
$
EL DISEASE EA EMPLOYEE
$
EL DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BYENDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED
CITY OF FT COLLINS
PURCHASING
P O BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KWJNR 1 fY HFaJNSURER ITS AGENTS OR